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1598891194
LEON SOUTHWICK
RUSSELLVILLE, AR
NPI
1598891194
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-02-26
Last Update Date
2007-07-08
Business Address
-- LEON SOUTHWICK Case Manager Parapro
1404 EAST 16TH STREET
RUSSELLVILLE, AR 72802
Phone number: 479-967-5570
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Mailing Address
-- LEON SOUTHWICK Case Manager Parapro
110 SKYLINE DRIVE
RUSSELLVILLE, AR 72801
Phone number: 479-967-5570
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